Affiliation:
1. The University of Missouri School of Medicine at Kansas City, Missouri, The Children's Mercy Hospital, Kansas City, Missouri
2. Stipend as a summer intern from contingency research funds provided to Stanley Hellerstein as the Ernest L. Glasscock, MD, Chair in Pediatric Research
Abstract
One hundred forty-four children with a clinical diagnosis of overactive bladder were observed for a mean of 3.15 ± 1.92 years. Initial management consisted of a behavioral modification program that included increased fluid intake, a timed voiding schedule and, if applicable, treatment of constipation. Those who failed to improve with the preceding intervention within 10 days to 2 weeks received an anticholinergic medication. Follow-up information was obtained by telephone. Caretakers and/or patients were asked a standard set of questions. The outcome with respect to urinary urgency, urinary frequency, daytime incontinence, posturing and urinary tract infections was recorded. After an average follow-up period of 3 years, 68 (47.2%) of the 144 children recovered from all symptoms of overactive bladder and 61 (42.4%) had decreased symptoms. Fifteen of the children, or 10.4%, still had all of the symptoms originally associated with overactive bladder. Children who had posturing as one of their symptoms had a significantly increased risk of urinary tract infection.
Subject
Pediatrics, Perinatology, and Child Health
Cited by
14 articles.
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